Term
|
Definition
Parasympathetic effect
COPS
Cholinergics, clonidine
Opiates, organophosphates
Pencyclidine, pilocarpine
Sedatives |
|
|
Term
|
Definition
| Anticholinergics, antihistamines, antidepressants, sympathomimetics (amphetamine, cocaine, LSD) |
|
|
Term
| Cases in which activated charcoal should NOT be used |
|
Definition
CHEMICAL CamP
Caustics, hydrocarbons, electrolytes, metals, iron, cyanide, alcohols, lithium, camphor, phosphorus |
|
|
Term
| Acetaminophen ingestion: Treatment |
|
Definition
| ABCs, activated charcoal, check level 4 hours after ingestion, if toxic given acetylcysteine, monitor liver enzymes and coags |
|
|
Term
|
Definition
MUDPILES
methanol, uremia, DKA, phenols, iron, INH, lactate, ethanol, salicylates |
|
|
Term
|
Definition
Remember oil of wintergreen
GI symptoms, respiratory symptoms, CNS symptoms, fever, tinnitus, anion gap metabolic acidosis
Supportive care, lab monitoring, activated charcoal, alkalinize urine |
|
|
Term
|
Definition
anticholinergic activty, inhibit cardiac sodium channels, tachycardia, hypertension, widened QRS, prolonged QT, coma, convulsions, cardiac dysrhythmias, acidosis
Treat with activated charcoal, alkalize serum, lidocaine for dysrhythmias |
|
|
Term
|
Definition
mineral spirits, kerosene, gasoline, lamp oil, pesticides
Choking, gagging, wheezing, respiratory distress, CNS depression, fever
Supportive care |
|
|
Term
|
Definition
Results in hypoglycmia as it inhibits hepatic gluconeogenesis
High anion gap |
|
|
Term
|
Definition
Windshield washer fluid, antifreeze, canned heat, picnic stove fuel
Inhibits mitochondrial respiration
malaise, visual disturbance (snowstorm), optic nerve damage (blindness), severe metabolic acidosis
Classic triad of visual complaints, abdominal pain, metabolic acidosis
Treat with support, folate, hemodialysis |
|
|
Term
|
Definition
Antifreeze, radiator fluid, coolants
Similar to methanol, makes calcium oxalate crystal, respiratory problems, ARDS, seizures, renal failure, metabolic acidosis
Thiamine, pyridoxine, hemodialysis |
|
|
Term
| Organophosphate ingestion |
|
Definition
Pesticides, nerve agents
cholinergic symptoms causing DUMBELS
Diarrhea, urination, miosis, bronchospasm, emesis, lacrimation, salivation
Treat with activated charcoal, atropine, 2-PAM |
|
|
Term
| Ingestions causing hypothermia |
|
Definition
| Opiates, sedatives, alcohol |
|
|
Term
| Ingestions causing hyperthermia |
|
Definition
| salicylates, anticholinergics, amphetamines |
|
|
Term
|
Definition
| Hyperreflexia, myoclonus, hyperthermia, autonomic instability |
|
|
Term
| Anticholinergic toxidromes |
|
Definition
| Agitation, hallucinations, dilated pupils, red color, dry skin, fever |
|
|
Term
|
Definition
Organophosphates: atropine
Iron: Deferoxamine
Methanol, ethylene glycol: Ethanol
Carbon monoxide: Oxygen
Methemoglobinemia: Methylene blue
Acetaminphen: N-acetylcysteine
Nrarcotics: naloxone
Anticholinergics: physostigmine
B-blockers: glucagon
TCAs: sodium bicarbonate |
|
|
